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®SEN DER: Complete items 1 antl ]when addltlonel corvlcaa are tleslratl, and complete items 3 <br />and 4. <br />Put your adr.rc;s In the "RET V RN TO" Space on tl, arse cltle. Failure to tlo this will present this <br />card from belnB returned to you. The return recelof^IBe will orovlde you the name of the oercon <br />atl o antl he tle a of a v .For etldltlonel fees the followlnB cervlcq are evelloble. Consult <br />postmyartter for leas antl cheek box q) for addltlonel service(s) requested, <br />1. H'Show to whom tlellvered, date, antl eddrgsae's eddreq. ~. ^ Rastrloted Delivery <br />1(Extra charBeJt t (Extra charge) t <br />3. Article Addrgsed to: 4 <br />icle Nu <br />mbar <br /> L 7 <br />/ <br /> ~ <br />~ Type of Service: <br />C, ~~,X /~ b ^ Registered ^ Insured <br />- , ^~Certlfled ^ COD <br />` <br />/ <br />/-. j`i C `; < <~fc/C' ~.~r S~ ~i,~ J ^ Express Mail <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Signature -Addressee 8. Addressee's Atldress (ONLY if <br />X uested/a/nd fec paid/ <br />j <br />6. re-Agen G ~ <br />~~'L~ <br />~ <br />X ~vt C~ <br />c <br />/~' ~ / <br />~ <br />ti ~D <br /> <br />7. Date of Delivery <br />° <br />, <br />~ <br />~,`-°'u <br />l~ <br />~ <br />7 ~ i l y <br />, <br />PS Form 3811, hfaf. 1987 ~ • U.S.G.P.O. t987~178-R68 DOMESTIC RETURN RECEIPT <br />Jcs w~-9/-d~~ <br />~P 666 579 191 <br />c~Ce~ti4ied Mail i~eceip4 <br />No Insurance Coverage Provided <br />N o Do not use for International Mail <br />Q ~ ~ : (See Reverse) <br />O Sem to <br />~ <br />U l rli Ci~~ e <br />` 61ree1 8 NN <br />nJ <br /> / <br />/.~ <br />C PO., stale 6 ZIP Cone q60 ~ <br />uT/ <br />~ Po CO <br />N <br />r Pos[a9e Vs <br />[ <br />V Cenilied Poa <br />c <br />C 6petial Delivery Fee <br /> <br />~ ReslricJed"r+~--~ <br />(('j i/ <br /> Relurn R¢ce o' 'n ai, <br /> to Whom bOaia Dlli ~" <br /> Relurn'f~~Pi Cowin ~ m, <br />fille`drk<-~ Deli <br />Oate <br /> , <br />>~ <br /> R1rAL stagl <br />~~ <br />/ <br />~~~ppp , <br />d Fees Ti (o <br />Postmark or Date. ~~~ <br /> _~_ r'1 <br />J; <br />~ <br />!a <br />